ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing for bladder distention addresses the common trigger of autonomic dysreflexia, prioritizing the cause of the hypertensive crisis.
Question 2 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Severe headache is a hallmark symptom of meningitis due to meningeal irritation.
Question 3 of 5
A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room? (Select all that apply.)
Correct Answer: A,E,F
Rationale: Suction tubing is necessary for clearing the airway of secretions or vomitus post-seizure. An oxygen mask is essential for providing supplemental oxygen if hypoxia occurs. Side rail pads prevent injury during postictal confusion or agitation.
Question 4 of 5
A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?
Correct Answer: C
Rationale: Rest periods help manage fatigue, a common MS symptom, supporting energy conservation for clients with neurological symptoms.
Question 5 of 5
A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
Correct Answer: A
Rationale: A spinal cord injury at T2-T3 typically results in paraplegia, affecting the lower extremities and possibly the trunk, due to the level of the lesion.